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Abstract

Effects of Extended Care Based on the WeChat Platform on Self-Efficacy and Quality of Life of Postoperative Breast Cancer Patients

Author(s): YAN FEI XU, XIA FEI. XU1, K. SONG2, C. QIU2, X. ZHANG2, DI LI NU ER-RE HE. MAM2 AND R. XU*
Department of Nursing, Nantong Tumor Hospital, Nantong 226200, 1Department of Nursing, Nantong Third People’s Hospital, Nantong 226006, 2Nanjing Hope Medical Laboratory Co.,Ltd, Nanjing 210001, China

Correspondence Address:
R. XU, Department of Nursing, Nantong Tumor Hospital, Nantong 226200, China; E-mail: [email protected]


To explore the effects of extended care based on the WeChat platform on self-efficacy and quality of life of postoperative breast cancer patients. 126 patients who underwent modified radical breast cancer surgery in our hospital from January 2018 to March 2019 were divided into a control group (n=63) and an observation group (n=63) according to a randomly generated numerical table. The control group was given regular nursing care, and the observation group was given extended nursing care using the WeChat public platform on the basis of the control group. The Hospital Anxiety and Depression Scale was used to assess the anxiety and depression of the two groups; the Breast Cancer Treatment Discomfort Rating Scale was developed with reference to the National Cancer Society’s Common Symptom Assessment Criteria and the American Cancer Treatment Collaborative’s classification criteria; and the Generic Quality of Life Inventory-74 was used to assess the quality of life of the postoperative patients and to conduct a patient satisfaction survey. The results showed that there were no significant differences in hospital anxiety and depression scores and anxiety status between the two groups before the intervention care, and the differences in hospital anxiety and depression scores, anxiety status and depression status were statistically significant after the treatment care. After the nursing intervention, the time effect, group effect, and interaction effect were statistically significant when comparing the discomfort scores of the two groups. After the nursing intervention, patients self-efficacy scores and quality of life scores were significantly higher in the observation group than in the control group. Before the intervention, there was no statistically significant difference in nursing satisfaction between the two groups; after the intervention, the satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant. Professional case management based on the WeChat mobile platform helps to improve the effectiveness of out-of-hospital care for breast cancer and adapt to the rapidly developing medical model.

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